Individual
MR. JASON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1016 SO 28TH ST, TACOMA, WA 98409-8020
(253) 593-2844
(253) 759-5296
Mailing address
1016 SO 28TH ST, TACOMA, WA 98409-8020
(253) 593-2844
(253) 759-5296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006201
WA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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